Individual
MS. LYNNE MARIE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3840 MYERS ST, RIVERSIDE, CA 92503-3614
(951) 358-7720
(951) 358-7710
Mailing address
PO BOX 7549, RIVERSIDE, CA 92513-7549
(951) 358-7720
(951) 358-7710
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
585517
CA
Other
Enumeration date
03/11/2008
Last updated
03/11/2008
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